Walla Walla Clinic, Inc.
NPI 1760568273 · Ambulatory Surgical Clinic/Center · Walla Walla, WA
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Walla Walla Clinic, Inc. is a Ambulatory Surgical Clinic/Center organization in Walla Walla, WA (NPI 1760568273).
Provider details
- NPI number
- 1760568273
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kevin Michelson, Ceo(509) 525-3720
- License
- FX00058422 (WA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
578 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 157 | $315 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 151 | $607 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 87 | $505 |
| Colorectal Cancer Screening; Colonoscopy on Individual at High RiskG0105 | 48 | $468 |
| Replacement of Knee Joint, Both Sides of Knee27447 | 42 | $9,064 |
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Walla Walla Clinic Ambulatory Surgery Center
Registry dates
- Enumerated
- 2006-10-27
- Last updated
- 2014-07-23
Frequently asked questions
- What is Walla Walla Clinic, Inc.'s NPI number?
- Walla Walla Clinic, Inc.'s National Provider Identifier (NPI) is 1760568273, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Walla Walla Clinic, Inc.?
- Walla Walla Clinic, Inc. is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Walla Walla Clinic, Inc. located?
- Walla Walla Clinic, Inc.'s practice location on file with NPPES is 55 W Tietan St, Walla Walla, WA 99362-4445.
- What is Walla Walla Clinic, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Walla Walla Clinic, Inc. is (509) 525-3720.
- Does Walla Walla Clinic, Inc. accept Medicare?
- Walla Walla Clinic, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Walla Walla Clinic, Inc.?
- The authorized official listed on Walla Walla Clinic, Inc.'s NPPES record is Kevin Michelson, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Walla Walla Clinic, Inc.'s NPI active?
- Yes — Walla Walla Clinic, Inc.'s NPI (1760568273) is active in the NPPES registry as of the last update on 2014-07-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.